Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | J5892 | TX |
NPI | 1033557343 |
---|---|
Provider Name | Dr. Bernd Schumacher |
First Address | San Luis Obispo, CA 93405-1818 |
Second Address | San Luis Obispo, CA 93405-1818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2013 |
Last Update Date | 08/06/2013 |